Genevieve Joan Eldean

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP044335 Issued in AZ

Practice address

335 W Pacifico Cir
Litchfield Park, AZ 85340-4606

Phone

(623) 536-7975

NPI assigned

Jan 9, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1124265368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W PACIFICO CIR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404606",
            "telephone_number": "623-536-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W PACIFICO CIR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404606",
            "telephone_number": "623-536-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDEAN",
        "first_name": "GENEVIEVE",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP044335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Michelle Earhart, PA-C
• Sierra Edwards
• Tiara Edwards, RBT
• Josephine Ekpenyong-Bassey
• Wasim El Habach, DPT
• Element Wound Care & Wellness LLC
• Rebecca Ann Elia, RPH
• Julie Elias, RBT
• Jennifer Elliott, PHD
• Mehrl Keck Ellsworth, D.D.S.,P.C.

• Licensed Practical Nurse in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.